Tho Profera, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

16241 Issued in NE

Practice address

255 16TH St SW
Sioux Center, IA 51250-2959

Phone

(712) 722-2326

Fax

(712) 722-2589

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1114564580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 E 13TH ST",
            "city": "SOUTH SIOUX CITY",
            "state": "NE",
            "postal_code": "687762427",
            "telephone_number": "712-389-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 16TH ST SW",
            "city": "SIOUX CENTER",
            "state": "IA",
            "postal_code": "512502959",
            "telephone_number": "712-722-2326",
            "fax_number": "712-722-2589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 E 13th St",
            "address_purpose": "LOCATION",
            "city": "South Sioux City",
            "state": "NE",
            "postal_code": "687762427",
            "country_code": "US",
            "telephone_number": "712-389-0932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROFERA",
        "first_name": "THO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "23457",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NE",
            "license": "16241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Pieper
• Nicola Jane Pike, DPM
• Jennifer L Plathe, LMSW
• Prairie Life Chiropractic P.C.
• Proactive Physical Therapy & Sports Rehab, Inc
• Stephanie Anne Raih
• Mary Yvonne Rayborn, MD
• Renew Counseling LLC
• Restore Therapy & Counseling, PLC
• Amanda Rickard

• All providers in Sioux Center, IA
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.